Cardiac Computed Tomography as an Imaging Modality in Coronary Anomalies Irem Karliova, MD, Peter Fries, MD, Jörg Schmidt, MD, Ulrich Schneider, MD, Ahmad.

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Presentation transcript:

Cardiac Computed Tomography as an Imaging Modality in Coronary Anomalies Irem Karliova, MD, Peter Fries, MD, Jörg Schmidt, MD, Ulrich Schneider, MD, Ahmad Shalabi, MD, Hans-Joachim Schäfers, MD The Annals of Thoracic Surgery Volume 105, Issue 1, Pages e15-e17 (January 2018) DOI: 10.1016/j.athoracsur.2017.08.035 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Comparison of a three-dimensional reconstruction of the cardiac (A) computed tomographic angiography (CTA) study and (B and C) the invasive angiography demonstrating a large feeding artery (arrow) and a large coronary aneurysm (double arrow). Information about the inflow of the fistula is missing. Besides, it is difficult to distinguish whether it is only the filling of fistulae or the right ventricular coronaries. (LAD = left anterior descending artery; L-CX = left circumflex artery; RCA = right coronary artery.) The Annals of Thoracic Surgery 2018 105, e15-e17DOI: (10.1016/j.athoracsur.2017.08.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Curved multiplanar reconstruction shows a feeding artery to the fistulae (arrow) from the left main coronary artery. The double arrow indicates ectatic vessels draining to the pulmonary trunk (Pul). (B) A second feeding artery to the fistula is shown (*), in addition to the inflow from the left anterior descending artery (LAD) to the saccular aneurysm. (An = aneurysm; Ao = aorta; L-CX = left circumflex artery.) The Annals of Thoracic Surgery 2018 105, e15-e17DOI: (10.1016/j.athoracsur.2017.08.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Multiplanar reconstruction delineating the drainage of ectatic vessels (arrow) from the fistula to the pulmonary trunk (Pul). (An = aneurysm; Ao = aorta.) The Annals of Thoracic Surgery 2018 105, e15-e17DOI: (10.1016/j.athoracsur.2017.08.035) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions